| NPI | 1376988394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W MARTINEZ Owner 360-350-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA CH 60191433) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2016-01-07 |